Gender Affirming Care
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What do you offer?
I am able to provide letters of informed consent for accessing Gender Affirming Care. Healthcare providers may call these "readiness assessments". I engage in ongoing, annual professional development regarding ethical best practice for the psychologist's role in the process of informed consent for access to gender affirming care.
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What are letters of informed consent for?
I can write letters of informed consent for accessing gender affirming hormone treatment. I am also trained in applying ethical best practice (informed consent) to write Gender Affirming Surgey (GAS) letters. The focus of these sessions is on informed consent of the procedures, recovery, and aftercare.
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What is Gender Affirming Care?
Healthcare that is respectful and affirming of a person’s unique sense of gender and provides support to identify and facilitate gender healthcare goals. These goals may include supporting exploration of gender expression, support around social transition, hormone and/or surgical interventions. This may also involve providing support to whānau, caregivers or other significant supporting people.
Source:
https://patha.nz/guidelines -
What is Informed Consent?
Informed consent refers to the self-determination of each person as being the expert on their experience. As a client, you have the right to effective communication, the right to be fully informed, and the right to consent freely. Informed consent means that information is provided in the context of a person’s values, culture and background. This information includes but is not limited to: benefits and risks, answering questions, easy to understand advice, time to digest the information given, any significant medical, social, or financial implications, and follow up plans.
Sources:
https://patha.nz/guidelines
https://info.health.nz/privacy/informed-consent -
Further Information for Healthcare Professionals
Foundational book I recommend to everyone, has a simple letter template in it with questions for each surgery to get new clinicians familiar with types of things to be exploring:
Chang, S. C., Singh, A., & Dickey, L. M. (2018). A clinician's guide to gender-affirming care: Working with transgender & gender nonconforming clients. New Harbinger Publications, Inc.
Surgery videos:
Dr Colt surgery prep videos: https://www.youtube.com/@drdrcolt
Template available online:
GAHP surgery letter template.docx | Gender Affirming Health Program
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Articles on Gender Affirming Care & Informed Consent
If you are interested in reading more, here are a few key articles from my perspective:
Amengual, T., Kunstman, K., Lloyd, R. B., Janssen, A., & Wescott, A. B. (2022). Readiness assessments for gender-affirming surgical treatments: A systematic scoping review of historical practices and changing ethical considerations. Frontiers in psychiatry, 13, 1006024.https://doi.org/10.3389/fpsyt.2022.1006024
Ashley, F., St Amand, C. M., & Rider, G. N. (2021). The continuum of informed consent models in transgender health. Family practice, 38(4), 543–544.
Fraser G, Brady A, Wilson MS. "What if I'm not trans enough? What if I'm not man enough?": Transgender young adults' experiences of gender-affirming healthcare readiness assessments in Aotearoa New Zealand. Int J Transgend Health. 2021 Jun 10;22(4):454-467. doi: 10.1080/26895269.2021.1933669. PMID: 37808530; PMCID: PMC10553372.